Evidence map›Paper›PMID 35212487›Full record

Trial reportCancer communications (London, England)2022

XELOX doublet regimen versus EOX triplet regimen as first-line treatment for advanced gastric cancer: An open-labeled, multicenter, randomized, prospective phase III trial (EXELOX).

Xiao-Dong Zhu, Ming-Zhu Huang, Yu-Sheng Wang, Wan-Jing Feng, Zhi-Yu Chen, Yi-Fu He, Xiao-Wei Zhang, Xin Liu, Chen-Chen Wang, Wen Zhang and 24 more

Open access · goldAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Cancer communications (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 31 citations in OpenAlex.

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  15. Postoperative Adjuvant Chemoradiotherapy on the Survival of Stage III Gastric Cancer.Computational and mathematical methods in medicine · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

34 authors at 8 institutions in 1 country.

Xiao-Dong ZhuDepartment of Gastrointestinal Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, P. R. China.
Ming-Zhu HuangDepartment of Gastrointestinal Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, P. R. China.
Yu-Sheng WangDepartment of Gastroenterology, Shanxi Cancer Hospital, Taiyuan, Shanxi, 030013, P. R. China.
Wan-Jing FengDepartment of Gastrointestinal Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, P. R. China.
Zhi-Yu ChenDepartment of Gastrointestinal Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, P. R. China.
Yi-Fu HeDepartment of Medical Oncology, The First Affiliated Hospital, Division of Life Science and Medicine, University of Science and Technology of China, Hefei, Anhui, 230031, P. R. China.
Xiao-Wei ZhangDepartment of Gastrointestinal Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, P. R. China.
Xin LiuDepartment of Gastrointestinal Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, P. R. China.
Chen-Chen WangDepartment of Gastrointestinal Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, P. R. China.
Wen ZhangDepartment of Gastrointestinal Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, P. R. China.
Jie-Er YingDepartment of Abdominal Medical Oncology, Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Institute of Cancer and Basic Medicine (IBMC) Chinese Academy of Sciences, Hangzhou, Zhejiang, 310005, P. R. China.
Jun WuDepartment of Medical Oncology, The First People's Hospital of Changzhou, Changzhou, Jiangsu, 213004, P. R. China.
Lei YangDepartment of Gastroenterology, Nantong Tumor Hospital, Nantong, Jiangsu, 226006, P. R. China.
Yan-Ru QinDepartment of Oncology, Zhengzhou University First Affiliated Hospital, Zhengzhou, Henan, 450052, P. R. China.
Jian-Feng LuoDepartment of Biostatistics, School of Public Health, Fudan University, Shanghai, 200032, P. R. China.
Xiao-Ying ZhaoDepartment of Gastrointestinal Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, P. R. China.
Wen-Hua LiDepartment of Gastrointestinal Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, P. R. China.
Zhe ZhangDepartment of Gastrointestinal Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, P. R. China.
Li-Xin QiuDepartment of Gastrointestinal Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, P. R. China.
Qi-Rong GengDepartment of Gastrointestinal Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, P. R. China.
Jian-Ling ZouDepartment of Gastrointestinal Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, P. R. China.
Jie-Yun ZhangDepartment of Gastrointestinal Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, P. R. China.
Hong ZhengDepartment of medical oncology, Cancer Hospital of Fudan University, Minhang Branch, Shanghai, 200032, P. R. China.
Xue-Feng SongDepartment of Gastroenterology, Shanxi Cancer Hospital, Taiyuan, Shanxi, 030013, P. R. China.
Shu-Sheng WuDepartment of Medical Oncology, The First Affiliated Hospital, Division of Life Science and Medicine, University of Science and Technology of China, Hefei, Anhui, 230031, P. R. China.
Cheng-Yan ZhangDepartment of Gastroenterology, Shanxi Cancer Hospital, Taiyuan, Shanxi, 030013, P. R. China.
Zhe GongDepartment of Gastrointestinal Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, P. R. China.
Qin-Qin LiuDepartment of Gastrointestinal Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, P. R. China.
Xiao-Feng WangDepartment of Oncology, Zhengzhou University First Affiliated Hospital, Zhengzhou, Henan, 450052, P. R. China.
Qi XuDepartment of Abdominal Medical Oncology, Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Institute of Cancer and Basic Medicine (IBMC) Chinese Academy of Sciences, Hangzhou, Zhejiang, 310005, P. R. China.
Qi WangDepartment of Medical Oncology, The First People's Hospital of Changzhou, Changzhou, Jiangsu, 213004, P. R. China.
Jian-Mei JiDepartment of Gastroenterology, Nantong Tumor Hospital, Nantong, Jiangsu, 226006, P. R. China.
Jian ZhaoDepartment of Gastroenterology, Shanxi Cancer Hospital, Taiyuan, Shanxi, 030013, P. R. China.
Wei-Jian GuoDepartment of Gastrointestinal Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, P. R. China.
Shanghai Medical College of Fudan University · CNShanxi Provincial Cancer Hospital · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNFirst Affiliated Hospital of Zhengzhou University · CNFudan University · CNNantong Tumor Hospital · CNThe First People's Hospital of Changzhou · CNUniversity of Science and Technology of China · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is no consensus on whether triplet regimen is better than doublet regimen in the first-line treatment of advanced gastric cancer (AGC). We aimed to compare the efficacy and safety of oxaliplatin plus capecitabine (XELOX) and epirubicin, oxaliplatin, plus capecitabine (EOX) regimens in treating AGC.

methodsThis phase III trial enrolled previously untreated patients with AGC who were randomly assigned to receive the XELOX or EOX regimen. The primary endpoint was non-inferiority in progression-free survival (PFS) for XELOX as compared with EOX on an intention-to-treat basis.

resultsBetween April 10, 2015 and August 20, 2020, 448 AGC patients were randomized to receive XELOX (n = 222) or EOX (n = 226). The median PFS (mPFS) was 5.0 months (95% confidence interval [CI] = 4.5-6.0 months) in the XELOX arm and 5.5 months (95% CI = 5.0-6.0 months) in the EOX arm (hazard ratio [HR] = 0.989, 95% CI = 0.812-1.203; P

conclusionsThis non-inferiority trial demonstrated that the doublet regimen was as effective as the triplet regimen and had a better safety profile and QoL as a first-line treatment for AGC patients. However, the triplet regimen might have a survival advantage in patients with poorly differentiated adenocarcinoma and liver metastasis.

Indexed as

AdenocarcinomaLiver NeoplasmsStomach NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsCapecitabineHumansOxaliplatinOxaloacetatesProspective StudiesQuality of LifeCapecitabineOxaliplatinOxaloacetatesAdvanced gastric cancer, chemotherapy, XELOX doublet regimenEOX triplet regimen, non-inferiority, quality of life, phase III trial

Identifiers

PMID35212487
PMCPMC9017757
OpenAlexW4214773926

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.